by Christine Woolstenhulme, QCC, QMCS, CPC, CMRS
August 17th, 2015
Documentation requirements for fractures have a lot of components that must be addressed in ICD-10-CM and many gaps that need to be filled in to document and code correctly. Is it Traumatic or Pathologic? Which bone, location and laterality, which encounter? Don't forget: an encounter is not a visit. Classification, alignment and fracture pattern is also addressed in ICD-10-CM. This is not something to take lightly, providers and staff need to be educated on the new requirements.
There is a great article written by LEO C. FAR on this subject.
Read the entire article from American Academy of Orthopedic Surgeons